Individual
PAIGE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CF-SLP
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6235
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1319
ND
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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